| NPI | 1659685576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL ELIAS Director Of Finance 248-577-3624 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901004068) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2018-01-22 |